By Erin Clarelli, MS, OTR/L & Jessica Jordan, MS, OTR/L

What Are Joint Compressions and Why Use Them?

Joint compressions are a passive form of sensory input that allow an individual to receive deep, localized proprioceptive feedback to specific areas of the body. This type of input can be especially calming and organizing for both the brain and nervous system.

Because joint compressions deliver focused, firm pressure directly to a joint (like the knee or wrist), they can help individuals feel more connected to their body. This strategy is often used in occupational therapy for individuals who benefit from proprioceptive input, especially those navigating sensory processing challenges, dysregulation, or body awareness difficulties.

How to Offer Joint Compressions

Joint compressions should always be used with clear communication and consent. Here’s a simple, step-by-step guide:

Explain to the individual what you’re going to do. For example:
“I’m going to give your body some firm pressure to help it feel more calm and steady.”
Place your hands on either side of a joint (most commonly: ankle, knee, wrist, fingers, or elbow). Keep your fingers close together—think “spoons over forks” for hand placement.
Apply firm but gentle pressure to “compress” the joint in a quick, controlled motion. Repeat 5–10 times per joint.
Repeat on the opposite side or other joints as needed.

When to Use Joint Compressions

Joint compressions can be helpful in different scenarios, depending on the individual’s needs.

Proactive Use:

Use before potentially overwhelming or stimulating situations (e.g., going to a new environment, transitions, etc.).

Reactive Use:

Use during moments of dysregulation—only if the individual welcomes touch and is not showing signs of distress or a sympathetic nervous system response.

Tips for Success

Joint compressions provide both proprioceptive and tactile input.
Consistency and firmness in your pressure help the brain interpret the input as calming, not alerting.
Never rush through compressions; slow and intentional movements support regulation best.

Want to See Joint Compressions in Action?

We’ve created a video where one of our licensed occupational therapists demonstrates how to perform joint compressions safely and effectively.

👉 Click here to watch it on our YouTube channel.

Share Your Thoughts

Have you used joint compressions before—either in practice or at home? We’d love to hear what’s worked for you! Drop a comment below and let us know how this strategy has supported you or someone you care for.

Helpful Links

If you found this post helpful, you’ll love our therapy resources! Whether you’re a parent or therapist, our apraxia and autism courses are here to offer practical tools, compassionate guidance, and real-world strategies you can use every day.

👨‍👩‍👧‍👦 For Parents & Caregivers: Autism Training | Online Course for Parents and Caregivers

🧑‍🏫 For Therapists: Therapist Course for Apraxia and Autism | Mentorship for OTs and Therapists

🏥 Work With Us: In-Person Occupational Therapy (San Diego & Long Beach Areas) | Virtual Coaching